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作者收集本院1964~1991年间治疗的青少年卵巢恶性肿瘤66例。采用手术加化疗,主要术式有:①患侧附件切除加大网膜切除术(16例);②卵巢癌根治术或加盆淋巴清扫术(30例);②细胞减积术(15例)。5年生存率分别为50%,53.3%,0%。术式①组有3例治疗后有正常分娩,因此建议对青少年早期卵巢癌患者制定手术方案时,应考虑保留生育功能及内分泌的必要,以提高生活质量。青少年的卵巢恶性肿瘤以生殖细胞肿瘤居多,本组占72.7%。其中21.2%的病人有淋巴或血道转移,24例术前测定血清AFP,阳性率58.3%。血清AFP测定对生殖细胞瘤的诊断有意义。
The author collected 66 cases of adolescent ovarian cancer treated in our hospital from 1964 to 1991. Surgery plus chemotherapy, the main surgical procedures are: ① ipsilateral appendage resection plus enalagics (16 cases); ② ovarian cancer radical mastectomy or basin lymphadenectomy (30 cases); ② cytoreduction (15 cases ). 5-year survival rates were 50%, 53.3%, 0%. There were 3 cases of normal operation after treatment. Therefore, it is suggested that when developing surgical plans for early stage ovarian cancer patients, it is necessary to consider the need of preserving fertility and endocrine to improve the quality of life. Adolescent ovarian cancer to the majority of germ cell tumors, this group accounted for 72.7%. Among them, 21.2% of the patients had lymphatic or hematogenous metastasis, 24 cases of preoperative serum AFP, the positive rate of 58.3%. Serum AFP measurement of germ cell tumor diagnosis of significance.